Ointment for anal fissure

Initially, quizzes are posted out with journals and GPs are invited to submit their answers for CME credits. Register or Log in to take part in quizzes. Don't have an account? Register to use all the features of this website, including selecting clinical areas of interest, taking part in quizzes and much more.
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A quick guide to managing anal fissures

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A quick guide to managing anal fissures - BPJ Issue 52

Glyceryl trinitrate rectal ointment can ease the pain associated with small tears of skin around the back passage anal fissures. Use the ointment twice daily at hourly intervals. You can use it for up to eight weeks if necessary. An anal fissure is a small tear of the skin around your back passage anus.
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Anal Fissures

Back to Anal fissure. Like other small cuts or tears to the skin, an anal fissure will often heal by itself within a few weeks. Most anal fissures will heal with treatment, although they can happen again easily, particularly if you don't follow the self-help advice outlined below. There are a number of different medicines your GP may recommend to help reduce your symptoms and allow your anal fissure to heal. Adults with an anal fissure will usually be prescribed bulk-forming laxative tablets or granules.
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Your doctor will likely ask about your medical history and perform a physical exam, including a gentle inspection of the anal region. Often the tear is visible. Usually this exam is all that's needed to diagnose an anal fissure. An acute anal fissure looks like a fresh tear, somewhat like a paper cut.
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